DR. Randall Wayne Black, MD

NPI #1942268909 in Rogers, Arkansas

Provider Information

NPI Number: 1942268909
Entity Type: Individual
Name: DR. Randall Wayne Black, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: May 1, 2006
Last Updated: Jul 15, 2014

Practice Location

Address: 5204 W REDBUD STREET
City: Rogers
State: Arkansas
ZIP Code: 72758
Phone: (479) 636-0110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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